When a doctor opened a plug-in

Wang Yushan is an expert in the field of skin flap transplantation and enjoys a high reputation throughout the country, while the Department of Orthopedics and Hand Surgery of the Sixth Hospital of Mo City is well known.

After he received a notice from Dongyang Dongda First Hospital yesterday and learned of the patient's situation with Dou Xin, he quickly organized a case discussion with the department doctor.

This is a very difficult skin flap transplantation case. Irregular scars involve a large extent, and effective tissue flap transplantation is particularly important.

Even Wang Yushan, who is good at this way, has some headaches!

He discussed with the directors of several related fields in the hospital, but still couldn't make up his mind and chose several more distinctive treatment methods.

Wang Yushan came up with the first plan and slowly said: "Director Qin, the first plan is the axial flap, which is based on the island flap. Here is a schematic diagram. You can take a look."

Having said this, Wang Yushan projected a picture and appeared in everyone's field of vision. This kind of axial flap must be a free tissue transplant with a vascular pedicle.

"In fact, it is to find a skin flap on the body that can meet the needs of facial transplantation. Our choice is chest-arm and scapular flaps. However, the problem that is considered in this way is not suitable for the face. The scapular area can be designed to include elevation. Branches, descending branches, horizontal branches to provide blood..."

Qin Xiang understands this, and he has thought about this. It is relatively simple to operate, but its shortcomings are more obvious.

For a transplanted skin flap to survive, it must have sufficient blood supply. Facial blood vessels are abundant, but they are not large blood vessels, and have limited fit with the scapular area. In fact, it is most suitable for the lack of chest, but the chest Not enough scope!

And the most important thing is still not being able to keep the pedicle!

What is a pedicle?

Generally speaking, if the best plan for facial skin flap transplantation is to retain the pedicle, it is to keep the blood supply of the skin flap by the original blood vessel, without cutting out this blood vessel, so that there is a good blood vessel Supply can facilitate later recovery, and the most important thing is nature!

Not to give people a sudden feeling!

Wang Yushan began to introduce them one by one. Everyone listened very carefully. Chen Cang sat there and sketched with a pen. After all, many of Wang Yushan's ideas gave Chen Cang some good ideas and they could learn from each other.

After spending an hour, Wang Yushan introduced four methods.

Each of these four methods has its advantages!

The doctors who came to participate in the discussion were all brightened, and they had to sigh with emotion about the strength of the Sixth Academy of Magic City!

There are really not many opportunities to communicate with the Sixth Hospital of Mo City. Qin Xiang directly called all the rest doctors back to participate in this remote consultation collectively.

This is also a learning!

If you ask someone to come to the First Hospital of Dongda University, not to mention the probability, it will definitely be more troublesome and unavoidable.

And even if you ask for a consultation and spend money and effort, you can invite one or two people at most, but it is completely impossible to participate in a discussion like this!

Now with the help of teleconference TV, all five or six directors of the other party have participated to help Dou Xin with the design and discussion of facial flaps. This is equivalent to a collaboration between the Sixth Hospital of the City and the First Hospital of Dongda!

It is not only a good thing for patients, but also a rare and valuable learning opportunity for the First Hospital of Dongda University, which has a backward flap transplantation technology!

Therefore, who can not cherish such an opportunity.

With the release of the four designs of flap transplantation, the office of the First Hospital of East University fell into a brief silence.

The doctors of the First Hospital of East University, holding paper and pen, are constantly reminiscing about the flashing points just now. These are the years of experience of those outstanding expert directors. For these young doctors, it can be said that they have benefited. A lot!

After a while, Wang Yushan broke the silence at this moment.

"Director Qin, which of these options do you think is more appropriate?"

To be honest, Qin Xiang really has its own characteristics in each of these plans, but Qin Xiang is not very satisfied!

These things could not reach the point Qin Xiang expected!

Qin Xiang couldn't help asking: "Dr Wang, the first option is the most feasible, but the shortcomings are also obvious. After the flap is transplanted, there may be some problems in the later recovery, and the survival rate of the flap is problematic. This plan mainly uses a large number of AT transplants, and the scars are more obvious. The third..."

Listening to Qin Xiang's comment, Wang Yushan nodded slightly. I have to say that Qin Xiang is still very capable. As can be seen from the comment just now, he pointed out the advantages and disadvantages straightforwardly.

After Qin Xiang finished his comment, he thoughtfully recalled the plan of a piece of paper, his brows were furrowed, he was wondering if there was a better plan!

suddenly!

A flash of light flashed, Qin Xiang's eyes suddenly lit up, and he quickly said: "Dean Wang, I have an idea, but I don't know if it's feasible or not!"

Wang Yushan was also slightly taken aback: "I don't know what Director Qin meant..."

Qin Xiang smiled and got up, and pulled the office mannequin over, his eyes radiated a light called confidence: "Look, Dean Wang, my idea is to choose from multiple donor areas!"

When several directors on the opposite TV heard Qin Xiang's words, they suddenly felt a burst of inspiration!

Yes indeed!

this is a good idea!

Multiple donor valve areas can make up for the original shortcomings and expand the advantages!

Wang Yushan was also full of curiosity, and said quickly, "Director Qin elaborated."

Qin Xiang nodded: "First of all, the patient Dou Xin is still young, only 18 years old, so his plasticity and growth are still very good, so, in this case, can we use multiple flap transplants together? "

"We can use this area on the cheek, VY implements skin flap grafting, and in the area below, we use rectangular propulsion flap grafting... Finally, we move from the lower jaw to the neck, because the area is over. Long, we freed an equivalent flap from the thoracic arm to the scapula area, and then retained the blood supply pedicle of the neck to perform a rotating flap transplant!"

"In this way, we can use multiple free flaps to provide more valve donor areas for facial wounds!"

"In this case, in the later recovery, there will be a good recovery effect!"

As soon as the voice fell, the office and the office of the Sixth Academy of Magic City fell into a short silence!

Then, applause sounded one after another!

In the two offices, everyone did not applaud Qin Xiang!

It's really a brilliant idea, a genius design, and a clever flap choice!

Even Wang Yushan couldn't help but applaud!

"Wonderful! Great! Director Qin is really amazing. This idea is really great! Director Qin made me admire the strength of the First Hospital of Dongda University. I can come up with such a wonderful leather board design plan. Most people can't do it!" Wang Yushan said sincerely!

Director Xiao, who specializes in flap transplantation at the Hand Surgery Department of the Sixth Hospital of Mo City, was also amazed and full of praise!

"Yes! This idea is really great, Director Qin, your idea can be said to broaden your horizons. It seems that in the future we should strengthen exchanges and cooperation between the two institutes!"

Listening to the exaggeration of the directors of the Sixth Academy of the Mo City, Qin Xiang really felt a lot more relaxed physically and mentally, very comfortable!

Wang Yushan sighed, and then said with a smile: "I don't know how Director Qin came up with such a flap transplantation plan? I have to ask for advice and learn!"

Qin Xiang was taken aback, yes...

How can I come up with such a genius design?

Thinking of this, Qin Xiang himself felt incredible...

He felt that he was a flash of inspiration, and suddenly it was a matter of course, as if God had suddenly given such a plan.

Maybe...this is talent, right?

After all, no one taught himself...

In the Dermatology Office of the First Hospital of East University, everyone looked at Qin Xiang as if they were idols. If there is a barrage in their hearts, it will definitely be 66666666

Director Qin is Director Qin, and even those people in the Second Academy of Demon City had to be convinced after seeing it!

Amazing!

But the only one is a bit at a loss where.

Kailin Xu was originally the little fan girl who became Director Qin. After all, such a genius design, ordinary people really can't think of it.

Thinking of this, Xu Kailin picked up the phone, took a photo of the model, and decided to take a good look and study hard.

After taking the photo, Kailin Xu zoomed in on the phone photo and took a closer look. She couldn't help but smile. If Director Qin was not explaining such a complicated design plan, she might not understand it, right?!

Don’t say I can’t understand it, it may even be misunderstood as a messy graffiti. After all, there is no way to do it. Doodles are just like...ghost paintings, but...suddenly... Xu Kailin actually saw one. The feeling of deja vu!

This time, Xu Kailin was stunned!

Yes indeed!

So familiar style, so familiar lines, so familiar...

She always felt like she had seen such a painting somewhere!

When Xu Kailin was struggling, she suddenly saw Chen Cang sitting across from writing and painting on paper!

She finally understood where she had seen that design plan!

...